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REVIVIFY LLC
NPI 1063172880
Physical Medicine & Rehabilitation - Pain Medicine in Summit, NJ

Active since December 20, 2021
68 RIVER ROAD, ANNEX, SUMMIT, NJ 07901(908) 273-2222 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revivify Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVIFY LLC (NPI 1063172880) is a healthcare organization registered as a pain medicine in Summit, New Jersey and active in the NPI registry since December 2021. The organization lists Marco Dimayorca, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1063172880
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameREVIVIFY LLC
Location Address68 RIVER ROAD, ANNEXSummit, NJ 07901-1450
Mailing Address68 River Road, AnnexSummit, NJ 07901-1450 · (908) 273-2222
Phone(908) 273-2222
Organization SubpartNo
Authorized OfficialMarco DimayorcaManaging Member · (908) 273-2222
Enumeration DateDecember 20, 2021
NPPES CertifiedDecember 20, 2021
✔ NPI 1063172880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
68 RIVER ROAD, Summit, NJ 07901
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revivify LLC's NPI number?

The NPI number for Revivify LLC is 1063172880. It was assigned to this organization in the NPPES registry on December 20, 2021.

Where is Revivify LLC located?

Revivify LLC is located at 68 River Road Annex, Summit, NJ 07901. The listed phone number is (908) 273-2222.

What is Revivify LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Revivify LLC was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.